Individual
BRIANNA FRANCES MALLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
454 ELTINGVILLE BLVD, STATEN ISLAND, NY 10312-2108
(718) 909-3607
Mailing address
15A FAIRFIELD ST, STATEN ISLAND, NY 10308-1823
(718) 984-9800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
033367
NY
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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